HomeMy WebLinkAbout1000-50.-4-14 TOWN OF SOUTHOLD
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Rental hermit
" v0537
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Owner Michael Monticciolo
Occupied as Single Family Dwelling
Located at 590 Soundview Ave Ext Southold 50.4-14
Maximum Permitted Occupancy 8
Is in compliance with all of the provisions of the code of the Town of Southold, the laws and sanitary and housing regulations of
the County of Suffolk and by the laws adopted by the New York State Fire Prevention and Building Code Council. Expiration is
two (2) years from date of issue. The operator is responsible for arranging for the bi-annual inspection.
11/27/2023
Code Erbrent Official
This Notice must be posted by the main entrance at all times
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� � TOWN OF SOUTHOLD
P6� ..
Rental Permit
0537
Owner Michael Monticciolo
Occupied as Single Family Dwelling
Located at 590 Soundview Ave Ext. Southold 50-4-14
Maximum Permitted Occupancy 8
Is in compliance with all of the provisions of the code of the Town of Southold, the laws and sanitary and housing regulations of
the County of Suffolk and by the laws adopted by the New York State Fire Prevention and Building Code Council. Expiration is
two (2) years from date of issue. The operator is responsible for arranging for the bi-annual inspection.
9/23/2021
6odefo ce ent fficia
This Notice must be posted by the main entrance at all times
Town Hall Annex - Telephone(631)765-1802
m �s
54375 Main Road ;fit` Fax(631)765-9502
P.O.Box 1179 "
Southold,NY 11971-0959 -
C�UIY [Li ::wb L q �N
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BUILDING DEPARTMENT
TOWN OF BOUT OLD - AUG 3 2021 '-
RENTAL PERMIT APPLICATION' � � ��,� ����:.:�3 -1 , '
Rental Permit Fee$200(Application must be renewed every two years)
Section A.
Property Information:
Rent.a. .l Property rty Aress:
AR cX�
Tax Map Number: 1000 SECTION T s,9 p 1 -BLOCK Jed -LOT _--i-i
SECTION B.
OWNER INFORMATION:
"t4 1—c-'sw
Property Owner Name: I elD
Property Owner Legal Address: Property Owner Mailing Address:
2!Z
Telephone Number(s): Daytime?-67- 64( 371(I�vening )o6 SZ1Z Emergen y
Property Owner Email Address: 1'CC-1 % 1 a A
Page 1&5
Town Hall Annexy Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
Box 1179
Southold, Y 11971 959 ✓� 1 �9G "�'
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Section C.
Information:Authorized Agent
Name of Authorized i i , if any:---a/�--------------
Address
Authorized P.O. Boxes):
___-.-.-,----
Mailing s riz Agent:,_,
Telephone Number(s): Daytime......_......... Evening_Ernergency_
Email Section _..._..
D.
Information:Managing Agent
Name of Authorized Ili i , if any:..
Address of Authorized Agent(no P.O. Boxes):_--,,,.,.....
Mailing Authorized :
Telephone Number ): Daytime__ Evening_Emergency_
Email :
SECTION E.
SITE MANAGER INFORMATION:(required for rental properties containing r more rental units)
Name of Managing Agent of dwelling unit, if any:
Address of Managing (no P.O. Boxes)-._.,,,,,...�,_. .... ........�._ .... �....___ � _.
Page 2 of 5
J
Town Hall Annex �1 oro ; �,' Telephone(631)765-1802
54375 Main Road ? Fax(631)765-9502
P.O.Box 1 179
Southold,NY l 1971-0959
� µ
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Mailing Address of Managing Agent:
Telephone Number(s): Daytime Evening Emergency
Email Address:
SECTION F.
PROPERTY DESCRIPTION:
Number of Rental Dwelling on Units property:
For each Rental Dwelling Unit set forth the Rental Dwelling Unit identifier(for example,
Unit 1, Unit 2, Unit 3 or Apt A, B, C);the use of each room in the Rental Dwelling Unit
(for example, Kitchen, Bedroom 1, Bedroom 2, Living Room) and the dimensions of each
room.
For properties with multiple Rental Dwelling Units use "Rental Permit Application
Addendum."
� \ A
Rental Dwelling Unit Identifier: t.J 14 1 k
Requested Maximum number of persons allowed to occupy Dwelling Unit:
Number of rooms in Rental Dwelling Unit:
Use and Dimensions of each room in Rental Dwelling Unit:
R
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13
Ccv� .IGLFrra -�
Page 3 of 5
z
Town Nall Annex A Telephone(631)765-1802
54375 Main Road
f�' Fax(631)765-9502
P.O.Box 1 179
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
INSPECTION:SECTION G.
Pursuant tot the Town Code of the Town of SoutholdChapter 207 (Rental Properties), a-safety
inspection rc ficial is required. I r chooses not to have said
inspection r the Town, a certificationfrom licensed architect, a licensed
professional engineer or a home inspector who has a valid e r tate Uniform Fire
Prevention Bit in o a Certification is required stating the property whichis the subject
oft the rental permit applicationis in compliancei all of the provisions oft the code of the
Town l ,the laws and sanitaryhousing regulations County of Suffolk
by the laws adopted by the New York State Fire Prevention and Buildinga Council.
t am requesting fire safety inspection to be performeda Enforcement Official
from the Town of Southold
I am submittingcompleted f Southold certification form from license
architect r a licensed r ssi nal engineer.
SECTION H.
Signature ized and MUST be the owner of the dwelling unit.
STATE OF Y )
COUNTY OF SUFFOLK)
I _ j.& , certify r I perjury, following:
. I am the owner of the propertyidentified i "Section i lici .
2. The roe is legal address set forth i ion B" of this application is my legal
address and I understand the Town will use the address for service pursuant to all
Page
Town Hall Annex � Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
applicable laws andrules. I further acknowledge thatI will notify the Town of Southold
Building n of any changes of addresswithin i ( ) days of any changes
thereto.
. I have read and received coy of Chapter 207 of the Code oft the Town of Southold
agreed to abide .
4. I will notify the Town withinfive ( ) business days as to any change tot the information
regarding Authoriz n , Managing Agent, or Site Manager,.
Property is : "_......_ ...
Property is Signar _ m ......._ r w.....
Sw Irn to e oretis —AI . L14L- 20,21
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Cfficia l IIo y Public Signature Original Notary Stamp
TRACEY L. DWYER
"wO'A4Y PUBLIC,STATL OF NE`v"v;'OnK
NO.01 DW6306900
QUALIFIED IN SUFFOLK COUNTY
COMMISSION EXPIRES JUNE 30,
Page 5 of
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Town Hall Annex Telephone(631)765-1802
54375 Main Road " Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959
t'ou 1971-0959C'oU ,k
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
RENTAL PROPERTY CERTIFICATION
Form is to be completed by a license architect, licensed engineer or licensed home inspector
Separate form is required for each individual Rental Dwelling Unit
Professional seal're paired for Architect or Fra Iraeer licensed igorne Ins ector rna st ro%lId
copKoLvylid current cerviacation
Rental Property SCTM NumbgPe- +' "
Rental Property Address: !K0 6D aUIEIN AVE, UT
Owner/Name: Nja44AeL
Rental Dwelling Unit Identifier: UN IT 2
Number&Square footage of each bedroom as depicted in the attached floor plan:
(i.e. Bedroom#1-100 sq., Bedroom#2-90 sq., etc.)
Property Description (Include all improvements indicated on survey)
51I certify that I have done a physical inspection of the subject rental dwelling unit and find that it
fully complies with all the provisions of the Code of the Town of Southold,the Residential Code
of New York State,the Building Code of New York State,the Plumbing Code of New York State,
the Fuel Gas Code of New York State, and the Energy Conservatio tion, Code of New
York State.
raApo
p, M0
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Print Name and Title IGH ITW-F n
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Please place professional seal: �FTHE STA'
Avt %4.TOWN OF SOUTHOLD BUILDING DEPT.
765 1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING / STRAPPING [ ] FINAL Pww
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMA 11.
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Town of Southold Annex 4/26/2013
P.O.Box 1179
54375 Main Road
Southold,New York 11971
CERTIFICATE OFCCS PANCY
No: 36209 Date: 4/26/2013
THIS CERTIFIES that the building SINGLE FAMILY DWELLING
Location of Property: 590 SOUNDVIEW AVE EXT SOUTHOLD,
SCTM#: 473889 Sec/Block/Lot: 50.4-14
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
8/20/2010 pursuant to which Building Permit No. 35860 dated 9/14/2010
was issued,and conforms to all of the requirements of the applicable provisions of the law. The occupancy for
which this certificate is issued is:
one fijpAy dweIl-iggwith ofinished base= screened Wrcb, first and second floor covered rches gpd second floor
balcony a§a li
The certificate is issued to Michael Monticciolo
...........w
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-06-0029 4/16/13
ELECTRICAL CERTIFICATE NO. 35860 10/4/12
PLUMBERS CERTIFICATION DATED 8/17/12 Gary Bufldn
Au ho ed i n re
41 Town of Southold Annex 4/26/2013
P.O.Box 1179
54375 Main Road
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 36210 Date: 4/26/2013
THIS CERTIFIES that the building ACCESSORY GARAGE
Location of Property: 590 Soundview Ave. Ext., Southold,
SCTM#: 473889 Sec/Block/Lot: 50_-4-14
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
11/21/2011 pursuant to which Building Permit No. 36832 dated 11/22/2011
was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for
which this certificate is issued is:
northab table unite ted_acce sort'two car garage with two attached storage rooms and enclosed outdoor shower asmm
wed fear.,
The certificate is issued to Michael Monticciolo
.m.. .. (OWNER) www....................... ..
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
........ —
At7-C—
............... Sign . ..__ .......w
tare
t1FCdL Town of Southold 3/14/2021
P.O.Box 1179
53095 Main Rd
"� cs Southold,New York 11971
CERTIFLCATE OF OCCUPANCY
No: 41875 Date: 3/14/2021
THIS CERTIFIES that the building IN GROUND POOL
Location of Property: 590 Soundview Ave Ext, Southold
SCTM#: 473889 Sec/Block/Lot: 50.-4-14
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
9/20/2019 pursuant to which Building Permit No. 44258 dated 10/7/2019
was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for
which this certificate is issued is:
accesses in-ground swimmin pool as a pliedd for.
The certificate is issued to Monticciolo,Michael
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 44258 9/23/2020
PLUMBERS CERTIFICATION DATED
o, z,d Signature